Methods of Instruction
Acting Interns will attend all House Staff didactic sessions including the noon conference series, intern report, and sessions that have been embedded into the curriculum of their respective medical service rotations. Instruction and methods will also include:
Patient Care Responsibilities: Students will be responsible for a panel of patients, and you will report directly to the resident on your team. It is expected that you will sometimes need the assistance of one of your interns to help in a patient care matter like cosigning an order, but unlike when you were a third year, the interns will not co-manage patients with you. You are the point person for you patients, and it will be your responsibility to coordinate all of the daily needs of your patients. As part of this coordination of care effort acting interns will be expected to work with our consultation liaison services directly. On average you will carry 3-4 patients, depending on the complexity of the cases and the total census of the team and at the discretion of your senior resident. You are responsible for all of the intern duties on the patients you follow, and therefore you will report directing to the second or third-year resident on your team. It is expected that acting interns will adhere to the same work hour rules that apply to house staff, namely that the total number of patient care hours in a week is less than 80, and that call duties do not exceed 24 consecutive hours. Specifics on call schedule, charting, sign-out and order writing are covered in the sections on each site.
Learning and Educational Activities: It is expected that the acting intern participates fully in the team's learning. You should plan to attend all didactics that your team attends. Contribute to the team's learning by sharing the information you learned when you researched on your patients' conditions. You will take an active role in both work rounds where you will interact directly with Attendings as well as during teaching rounds.
Core Clinical Symptoms and Conditions: Each clerkship and clinical rotation has defined core clinical symptoms and conditions that students are required to see or learn about during that rotation.
The core clinical conditions for the Medicine Acting Internship are:
Dyspnea
Fluids and Electrolyte Management
Fever
Altered Mental Status
Hypotension
Hypertension
Renal disease
Arrhythmia
Thromboembolic disease
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